ANGELA M KOONIN (NPI# 1265449474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265449474 |
| Entity Type | Individual |
| Full Name | ANGELA M KOONIN |
| Credential | PT |
| Practice Address |
449 N Wendover Rd Suite B Charlotte NC 28211-1064 |
| Practice Telephone | 7043667723 |
| Practice Fax Number | 7043667724 |
| Mailing Telephone | 7043667723 |
| Mailing Fax Number | 7043667724 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 8265 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 078HK | 01 |
| NC | MEDCOST | B2961 | 01 |
| NC | 7212126 | 05 |
| Street Address |
449 N WENDOVER RD SUITE B |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919743 | Steven Craig Frantz | Physician Assistant | 449 N Wendover Rd, Suite A, Charlotte, NC 28211-1064 | 2005-08-19 |
| 1194236620 | Philip Thomas De Rosa | Physician Assistant | 449 N Wendover Rd, Charlotte, NC 28211-1064 | 2017-10-24 |
| 1184149338 | James David Vollmer | Physician Assistant | 449 N Wendover Rd, Charlotte, NC 28211-1064 | 2017-08-09 |
| 1326355652 | Loretta Ann Hart | Physician Assistant | 449 N Wendover Rd, Suite A, Charlotte, NC 28211-1064 | 2010-09-08 |
| 1073835765 | Greg Ott's Center for Physical Therapy and Sports Performance, LLC | Physical Therapist | 449 N Wendover Rd, Suite B, Charlotte, NC 28211-1064 | 2010-02-22 |
| 1982872917 | John Christopher Buck | Physical Therapist | 449 N Wendover Rd, Suite B, Charlotte, NC 28211-1064 | 2008-02-12 |
| 1184818320 | Kimberly A Welch | Physical Therapist | 449 N Wendover Rd, Suite B, Charlotte, NC 28211-1064 | 2007-08-30 |
| 1831274695 | Brandon James Valentine | Orthopaedic Surgery | 449 N Wendover Rd, Suite A, Charlotte, NC 28211-1064 | 2006-10-27 |
| 1114934502 | Gregory A Ott | Physical Therapist | 449 N Wendover Rd, Suite B, Charlotte, NC 28211-1064 | 2006-08-01 |
| 1437139920 | Bryan Kerchner | Physician Assistant | 449 N Wendover Rd, Ste A, Charlotte, NC 28211-1064 | 2006-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891322616 | Lauren Blakey Gass | Physical Therapist | 7320 Brice Knoll Ln # D-305, Charlotte, NC 28269-3435 | 2020-03-23 |
| 1902431539 | Michelle Jane Hughes | Physical Therapist | 8024 Black Forest Ln Apt 11108, Charlotte, NC 28277-6736 | 2020-03-04 |
| 1538793237 | Mary Allison Cargill | Physical Therapist | 1700 N Brevard St Apt 217, Charlotte, NC 28206-3615 | 2020-03-03 |
| 1902436074 | Sarah Sullivan | Physical Therapist | 2120 N Brevard St Apt 147, Charlotte, NC 28206-3657 | 2020-01-17 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1265073423 | Christopher Dyba | Physical Therapist | 6034 Heath Valley Rd, Charlotte, NC 28210-4352 | 2019-09-30 |
| 1558919324 | Briana Packer | Physical Therapist | 5501 Sharon Rd, Charlotte, NC 28210-6357 | 2019-08-26 |
| 1720633258 | Roper Physical Therapy, Inc. | Physical Therapist | 301 E Tremont Ave Ste B, Charlotte, NC 28203-5484 | 2019-08-01 |
| 1770135188 | Parita Joshi | Physical Therapist | 7417 Hidden Creek Dr, Charlotte, NC 28214-8896 | 2019-07-15 |
| 1770147142 | Kelsi Brooke Fabin | Physical Therapist | 1901 Summey Ave, Charlotte, NC 28205-7931 | 2019-04-30 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.